It's possible that you may encounter people dying and losing their lives, so I wonder how this has affected your faith and your religion? Has it made your faith stronger or made it weaker?
Hey guys, so i am a doctor planning to specialise in emergency medicine. I have had rotations as part of the house job but that wouldnt be same as you guys having years on it.Tbh i like the freedom after work hours on it and being busy. 1)is it hectic? How long is a normal shift for you? 2)Are there any regrets? 3) is there a respect issue with other specialties? Currently only internal med is the other specialty what I am interested in, but do give me your opinions, suggestions?
For these drugs (benzodiazepines, GHB ect) to work by injection they have to be injected intravenously and to do that you’d need to raise a vein or be incredibly lucky. Ask any former junkie about a “missed hit” and they’ll tell you they’ve pretty much wasted the hit. Secondly, to avoid hurting someone and being detected you’re going to need a pretty narrow gauge needle meaning you can’t just shoot it in a passing stab. You’d need to literally be standing there with a needle in someone for a few seconds while pushing the plunger and it still wouldn’t have the desired effect unless you had it in a vein. Even if you did somehow hit a vein these drugs take somewhere between 30 seconds and two minutes to take effect..and your legs would literally buckle out from under you once they do. On top of all of that they’ve an incredibly narrow range for use based on things like age and weight etc. A dose that might incapacitate a 180lb person could be lethal to someone weighing a 120lbs and despite what the news says about these drugs being undetectable within a matter of hours, if injected most are detectable for up to 72 hours or three days.
From my own experience of taking drugs, injecting, snorting, smoking and dropping random pills and powders, none of these stories make a lick of sense, and according to consultant yesterday they don’t make sense to him either.
I feel that Uptodate isn’t so good for emergency medicine. What is the best app for summaries/treatment plans?
Yesterday marked a significant announcement in humanity's battle against COVID-19. Even Alyssa Milano took notice!
Please reference the following thread before reviewing this one:
Additional details have emerged as the result of some valuable DD delivered by a grouping of Amyris retail investors. Let's start with a press release from Dynavax:
What are the key details?
- The vaccine is called CORBEVAX™ aka "The World's COVID-19 Vaccine"
- CORBEVAX™, India’s first indigenously developed protein sub-unit vaccine against COVID-19, has received Emergency Use Authorization (EUA) approval from the Drugs Controller General of India (DCGI) to launch in India with other underserved countries to follow
- CORBEVAX™ has been developed by Biological E. Limited in collaboration with Texas Children’s Hospital Center for Vaccine Development (Texas Children’s CVD) and Baylor College of Medicine (Baylor) in Houston, Texas
- BCM Ventures (Baylor College of Medicine Ventures) is licensing the IP to Biological E.
- CORBEVAX™ is powered by Dynavax's CpG 1018® adjuvant
Ok, why is this important to Amyris? In summary, it validates the significant revenue opportunity associated with next-gen vaccine adjuvants. Let's back this up with data shall we?
Dynavax is reaching all-time highs in both market cap and quarterly revenues
But wh
... keep reading on reddit ➡Texas Children’s Hospital and Baylor College of Medicine announced that their "protein sub-unit COVID-19 Vaccine" has received Emergency Use Authorization (EUA) approval from the Drugs Controller General of India (DCGI) to launch in India with other underserved countries to follow as evidenced by the following tweet:
https://preview.redd.it/zwh8cla7fc881.png?width=737&format=png&auto=webp&s=1d3eef1c10c7490d2b360fdc7375443e5f8e649c
Why is this important to Amyris investors?
We look to Immunity Bio's 12.20.2021 press release for clues:
>Heterologous Mix-and-Match Program
>
>ImmunityBio has acquired the rights to multiple platforms and initiated a consortium including Baylor Medical College, Infectious Disease Research Institute (IDRI), Amyris, Inc. and EnGeneIC to develop, manufacture and scale second-generation vaccines that combine different advanced DNA, RNA, protein constructs, and adjuvants. The company has adopted a long-term approach to addressing COVID and future pandemics and believes these mix-and-match components are critical to providing accessible, broad, and durable protection against current and future variants such as Delta and Omicron variants.
>
>“Developing a novel vaccine candidate during a global pandemic has been challenging for a number of reasons, which have affected all drug developers,” said Soon-Shiong. “When we first announced our intent to develop a COVID-19 vaccine in April 2020, we indicated a vaccine that generates long-lasting, cell-mediated T cell immunity would require the use of genomics, molecular dynamics, and new vectors. We also hypothesized that a heterologous approach (mix-and-match) would strengthen immune response. Almost two years into the pandemic and dozens of virus mutations later, these predictions are proving more accurate than ever, which is why we are partnering with IDRI, Amyris, Inc., EnGeneIC, and the Baylor College of Medicine to develop next generation mRNA, recombinant protein vaccine candidates and first-in-class invariant NK-T Cell (iNK-T) COVID vaccines. We anticipate being able to move quickly to enroll participants in our COVID-19
I am pretty much in love with EM, it’s the one rotation I’ve enjoyed the most, and am seriously considering leaving a peds residency in my home country for it. I’ve met a lot of UK-trained EM consultants in my hospital and they’ve all been extremely nice and a real joy to work with. But I’m really worried about the EM job market 10 years from now, seeing how America has shut down a lot of their emergency departments due to an influx of mid-level creep. Is the same thing going to happen in the UK? What guarantee do we have that it won’t?
Hey everyone, just like the title says, I'm looking for some EM textbooks that I can read before starting a new position. I heard Tintinalli's is good but any other recommendations would be greatly appreciated. Happy Holidays.
Hi everyone. Wondering if anyone working in PCSM or fellowship hangs out here. I’m a current EM resident exploring career paths. Sport has always been my passion and I would love to get into sports medicine as a fellowship, however it’s hard to find decent candid information on anything about the field.
Would love to chat with any physicians here in the field especially if you primarily trained in EM. Specifically I’m curious about how practice is, if you feel fairly compensated, if private practice is possible without orthopedic surgery bosses, if you’re still able to work some shifts in the ED, etc etc
Really this post is to get an idea of what my chances are/how I could improve my chances of at least getting an interview when applying to emergency medicine in the US. I'll just give a few points of what I have so far
Final year medical student in the UK
Will be doing my elective in the UK (Covid university rules) in emergency medicine with the department lead for research at my institution. I think they may have connections to the US.
Grades wise thankfully I managed to be top of my class. Did both step 1 and step 2 with 253 and 269 being my scores, respectively.
I do have some publications, posters, conferences and medals/national prizes with one being from the US for my research
Really the only thing I am missing is the sLOE, which will be difficult to get prior to graduation next summer as I know only students can do electives. Contacted multiple institutions and they said they're only offering their students/US students electives which is understandable. Although I found a number of places that do not necessarily require sLOEs. I would, however, have LORs from emergency physicians.
I understand the whole issue with emergency medicine being notoriously competitive at the moment, let alone the fact that I am an IMG AND have no sLOE so I appreciate the odds are stacked against me with just those two things that will filter me out. But I am more than willing to do anything to increase my chances in applying for emergency medicine and was wondering what you guys would advise.
Thanks in advance!
I had a tough time finding much information about this residency online. I already did an interview here but would appreciate some outside thoughts. Thanks!
Would anyone be willing to give me some feedback on my personal statement? It would be helpful to have a second set of eyes :) Thanks!
So, I'd love to go in the EM direction, trouble is we don't have EM as a separate specialty in Austria/Germany. Every specialty deals with it's own emergencies. So I basically have two options if I want to go the EM route.
1st would be general practice training (3 years, essentially FM training) + Specialty training in anesthesia and intensive care (ca. 5 years), most EMS docs are anesthetists which staff rapid response cars and helis.
2nd option would be to go the IM route and train as IM and Intensive Care or IM and Cardiology.
(3rd) Option would be to head to the UK/AUS/NZ and train as EM there, which is problematic because you can't really return as an attending since the specialty you are trained in doesn't exist here.
Do you guys have thoughts on that?
Has anyone in this community attended a conference arranged by Northwest Seminars? I'm thinking about going to a Topics in Emergency Medicine conference in Hawaii in 2022, but wanted to get people's opinions if the lectures were worthwhile. Thanks so much!
Hi everybody!
I’m writing here because recently I found out about the concept of functional medicine. For the who don’t know, it is mostly about preventing certain diseases rather than their treatment. Basically, you can find more detailed information on this site — https://melbournefunctionalmedicine.com.au/what-is-functional-medicine. But, I’ve started this thread because I wonder whether this functional medicine can help reduce the number of ambulance calls? What do you think of that?
I would like to say straight away that I don’t work in an emergency, but my mother does. Even now, my sister and I are adults now, our mother still continues to work there. She is not even thinking of switching jobs and going for retirement. So, our whole childhood, my sister and I barely saw our mother at home. Long-hour shifts and stressful days at home made her exhausted like a squeezed lemon. She could hardly spend some time with us. But, on her days off, she shared with us some stories about all the people who neglected their health and had heart attacks and other problems that required emergency medical assistance. Besides, our mum always told us how they came just on time and rescued all those people.
So, on the one hand, I’m really proud of my mother and what she has done almost her entire life. She saves countless lives. I can even call her a hero. But, on the other hand, my sister and I barely spend some time with her. She was whether at work or too tired to spend some spare time with us. That site, I’ve mentioned above, kinda pushed me into consideration. What if people prevented some of their diseases with a cardio system, kidneys, and liver and maintained their general health. I know it might sound selfish, but my sister and I were just by ourselves because of them. BTW, I was dad as busy all the time too. So, I thought that medical centers like this one could really help all those who work in an emergency to see their families more often.
